EDUARD DOTLIBOV
NPI 1467795708
Nurse Practitioner - Adult Health in Brooklyn, NY

Active since April 05, 2013
2714 MERMAID AVE, BROOKLYN, NY 11224(718) 373-8961(718) 373-8963 Get Directions Write a Review

NPPES record last updated: April 5, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Eduard Dotlibov NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDUARD DOTLIBOV (NPI 1467795708) is an individual adult health provider in Brooklyn, New York, licensed in New York (F306395) and active in the NPI registry since April 2013.

NPPES Registry Identity

NPI1467795708
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameEDUARD DOTLIBOV
Location Address2714 MERMAID AVEBrooklyn, NY 11224-2006
Mailing Address2714 Mermaid AveBrooklyn, NY 11224-2006
Fax(718) 373-8963
Sole ProprietorYes
Enumeration DateApril 5, 2013
NPI 1467795708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in NY · F306395
2714 MERMAID AVE, Brooklyn, NY 11224

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eduard Dotlibov's NPI number?

The NPI number for Eduard Dotlibov is 1467795708. It was assigned to this individual provider in the NPPES registry on April 5, 2013.

Where is Eduard Dotlibov located?

Eduard Dotlibov practices at 2714 Mermaid Ave, Brooklyn, NY 11224. The listed phone number is (718) 373-8961.

What is Eduard Dotlibov's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Eduard Dotlibov was last updated on April 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.